炎性体参与阿尔茨海默病的发病机制。

IF 3.4 3区 医学 Q2 NEUROSCIENCES Journal of Alzheimer's Disease Pub Date : 2024-11-01 Epub Date: 2024-10-03 DOI:10.1177/13872877241283677
Narimene Beder, Mourad Belkhelfa, Hakim Leklou
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引用次数: 0

摘要

阿尔茨海默病(AD)是一种神经退行性疾病,其临床前和前驱期长达近 20 年。阿尔茨海默病的神经病理学特征包括淀粉样蛋白斑块、神经纤维缠结和神经炎症,这些都会导致神经元和突触的丧失。重要的事实是,氧化应激通过促进淀粉样蛋白-β沉积和 tau 过度磷酸化参与了 AD 的发病。然而,炎症反应和热解性死亡是由 NLRP 炎性体激活的 caspase-1 的异常表达介导的,它导致裂解促炎性细胞因子,如促白细胞介素-1β 和促 IL-18。激活的小胶质细胞和星形胶质细胞会产生 IL-1β、TNF-α 和 IL-6,它们会扩大神经炎症循环,可作为 AD 的早期诊断标志物或治疗靶点。在这篇综述中,我们总结了目前我们对炎性体在 AD 发病机制中的作用的理解,强调了为改进新疗法的开发而需要解决的关键问题。
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Involvement of inflammasomes in the pathogenesis of Alzheimer's disease.

Alzheimer's disease (AD) is a neurodegenerative disease with a long preclinical and prodromal stage near 20 years. The neuropathological hallmarks of AD include amyloid plaques, neurofibrillary tangles, and neuroinflammation, those lead to neuronal and synaptic loss. Important fact, oxidative stress participates in the AD development by promoting amyloid-β deposition, tau hyperphosphorylation. However, the inflammatory response and pyroptotic death are mediated by the aberrant expression of NLRP inflammasome activated caspase-1, which leads to cleavage pro-inflammatory cytokines such as pro-interleukin-1β and pro-IL-18. IL-1β, TNF-α, and IL-6 which amplify the neuroinflammation loop, are produce by activated microglia and astrocytes, that can serve as early diagnostic markers or therapeutic targets in AD. In this review, we summarize our current understanding of the role of inflammasome in the pathogenesis of AD, highlighting key issues that need to be addressed to improve the development of new therapies.

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来源期刊
Journal of Alzheimer's Disease
Journal of Alzheimer's Disease 医学-神经科学
CiteScore
6.40
自引率
7.50%
发文量
1327
审稿时长
2 months
期刊介绍: The Journal of Alzheimer''s Disease (JAD) is an international multidisciplinary journal to facilitate progress in understanding the etiology, pathogenesis, epidemiology, genetics, behavior, treatment and psychology of Alzheimer''s disease. The journal publishes research reports, reviews, short communications, hypotheses, ethics reviews, book reviews, and letters-to-the-editor. The journal is dedicated to providing an open forum for original research that will expedite our fundamental understanding of Alzheimer''s disease.
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